Nicole Petersen
Family Nurse Practitioner · Draper, UT
Nicole Petersen is a family nurse practitioner with a practice address in Draper, Utah, and NPI 1710840012, issued on Dec 4, 2025. Check the license (Utah 11102214-4405, as entered in NPPES) with the Utah board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Nicole Petersen
- Primary taxonomy
- Family Nurse Practitioner 363LF0000X
- License number
- 11102214-4405 UT
Self-reported in NPPES; status is on the state search - Practice location
- 14942 S Vintage View CT, Draper, UT 84020
- Phone
- (307) 679-4886
- Enumerated
- Dec 4, 2025
- Record last updated
- Dec 4, 2025
- Medicare enrollment
- Enrolled (PECOS I20260605001210); may accept Medicare assignment
- Entity
- Type 1 · individual
8 nearest family nurse practitioner records → All 2,167 in Utah → Look up another NPI →
Verify Nicole Petersen in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Utah board licenses this profession
Search for license 11102214-4405Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Nicole Petersen among 2,167 family nurse practitioner records in Utah
Nicole Petersen is one of 2,167 family nurse practitioner records with a practice address in Utah. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2025, is newer than 89% of them.
- NPI issued2025 · 89% of these records are older, 3% newer
- In a Medicare fileNo · 72% of these records are
- In the CMS Doctors and Clinicians fileYes · 54% of these records are
- Graduated2024 · median 2020 among the 1,159 with a school on file
- Record last updated2025 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LF0000X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
40 family nurse practitioner records list a practice address in Draper
They are 40 of the 1,938 NPPES records with a practice address in Draper, and 2,167 family nurse practitioner records in Utah. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 2,167 in Utah → Every provider in Draper → Family Nurse Practitioner nationwide →
The 8 family nurse practitioner records with the nearest ZIP codes
- Hafsa Abdikadir, NPDraper, UT 840201184184863
- Julie Balk, NPDraper, UT 840201932239720
- Tillie Borrelli, DNPDraper, UT 840201154872539
- David Brockbank, N.P.-CWvc, UT 840201710222310
- Jessica Coon, NP-CDraper, UT 840201538518469
- Carlie Hamilton, FNPDraper, UT 840201104978873
- Heather Hardy, FNPDraper, UT 840201659936151
- Leeann Klemetson, FNPDraper, UT 840201447583471
Common questions
What is Nicole Petersen's NPI number?
Nicole Petersen's National Provider Identifier (NPI) is 1710840012, issued on Dec 4, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Nicole Petersen located?
The NPPES record lists a practice address at 14942 S Vintage View CT, Draper, UT, 84020. Phone: (307) 679-4886. Providers update this record themselves, so call before visiting.
How can I verify Nicole Petersen's license?
NPPES lists Utah license number 11102214-4405, as entered by the provider. Search the Utah board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.